Andre D Tilton (NPI# 1306165097, PAC ID# 7810130390) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY PRACTICE.
| Nation Provider ID (NPI) | 1306165097 |
| PAC ID by PECOS | 7810130390 |
| Professional Enrollment ID | I20130903000029 |
| Full Name | Andre D Tilton |
| Organization Legal Name | SUPERIOR MEDICINE GROUP LLC |
| Address |
6621 Westbank Expressway Westbank Medical and Walk In Clinic Marrero LA 70072-2669 |
| Phone Number | 5043097030 |
| Gender | M |
| Medical School | TULANE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | FAMILY PRACTICE |
| Group Practice PAC ID | 6901036243 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190039 | WEST JEFFERSON MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 6621 Westbank Expressway, Westbank Medical and Walk In Clinic, Marrero, LA 70072-2669 | 5043097030 | SUPERIOR MEDICINE GROUP LLC |
| Organization Legal Name | SUPERIOR MEDICINE GROUP LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vu M Mai | Family Practice | Superior Medicine Group LLC | 6621 Westbank Expressway, Westbank Medical and Walk In Clinic, Marrero, LA 70072-2669 |
| Street Address |
6621 WESTBANK EXPRESSWAY WESTBANK MEDICAL AND WALK IN CLINIC |
| City | MARRERO |
| State | LA |
| Zip | 70072-2669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vu M Mai | Family Practice | Superior Medicine Group LLC | 6621 Westbank Expressway, Westbank Medical and Walk In Clinic, Marrero, LA 70072-2669 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Geoffrey B Gillen | Obstetrics/gynecology | New Orleans Physician Services Inc | 4513 Westbank Expressway, Marrero, LA 70072 |
| James K Ellis | Hematology/oncology | New Orleans Physician Services Inc | 4513 Westbank Expressway, Marrero, LA 70072 |
| Ahmad M Shanableh | Internal Medicine | 824 Ave F, Marrero, LA 70072-1940 | |
| Phuong T Vo | Internal Medicine | 7521 Westbank Expressway, Suite E, Marrero, LA 70072-2300 | |
| Paul C Naccari | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Jennifer Whatley Vaughn | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Scott T Newton | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Janie M Irvin | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Michelle Sierra | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Lauren M Kloepfer | Physical Therapy | Dynamic Physical Therapy Services LLC | 7520 Westbank Expy, Suite D, Marrero, LA 70072-2354 |
| Find all physicians in zip 70072 | |||
| City | MARRERO |
| Zip Code | 70072 |
| Specialty | FAMILY PRACTICE |
| City + Specialty | MARRERO + FAMILY PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.